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Biomedical subjects

D P Miles

Publications and source records attributed to D P Miles.

7 recordsLinked to original sources

A review of hospital discharge rates in a population around Camelford in North Cornwall up to the fifth anniversary of an episode of aluminium sulphate absorption.

BACKGROUND: The aim of this study was to assess the impact of the pollution caused by the aluminium sulphate emptied into the water at the Lowermoor Treatment Works on the standardized hospital discharge ratios in the Camelford area, Cornwall. METHOD: Comparisons were made between the Camelford area and other localities in Cornwall of standardized hospital discharge ratios up to five years following the pollution incident. The diagnoses of discharges were defined by ICD 9 code and grouped in chapters. The figures for Camelford were compared with those for Cornwall. RESULTS: Since the pollution incident, the standardized discharge ratio has increased in the Camelford area compared with Cornwall. No similar increase was observed in other localities of Cornwall. No one diagnosis was found to cause this increase. CONCLUSIONS: The pollution of the water to the people of Camelford has raised hospital discharges. Monitoring of hospital discharges will continue.

Alum Compounds↗

Do patients who move to a new town consult their doctor more often?

A study was conducted to measure any difference in the consultation rate of patients from two new town housing estates compared with patients from the rest of the practice. Patients from the new estates consulted 15% to 20% more than those in other areas, but newly registered patients showed no difference compared with the indigenous population. It is suggested that patients who chose to move to new town rented accommodation bring with them a more casual attitude to the general medical services.

Family Practice↗

Estimating list inflation in a practice register.

The reason why patients were incorrectly registered in an age-sex register was studied. Whereas underregistration was caused by patient delay in registering with a doctor, the much greater number of overregistered patients were thought to be there largely because of administrative delays in removing their names from the register. It is suggested that it would be possible for the software of a computer system in general practice to correct the population size and structure for estimated list inflation.

Adolescent↗